Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00009 | Date 06/09/2019 |
| Token No | SM/25-26/4220 01/07/2025 | Serial | 035 |
| Patient Name | Mrs. TINKA DAS | Contact No | 8335825429 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||